Editorial Commentary : Arthroscopic Bony Bankart Fixation Stands the Test of Time—Preserve Native Glenoid Anatomy When You Can!

Abstract

Bony Bankart lesions provide an opportunity to restore native glenoid anatomy through direct fragment fixation. Arthroscopic bony Bankart repair can provide long‐term shoulder stability, high patient satisfaction, and sustained participation in sport. Although we prefer double‐row bridge fixation for its broad compression across the fracture bed, rotational control, and biomechanically stronger fixation, a properly indicated and well‐executed single‐row repair can achieve excellent results. Latarjet and other glenoid bone‐augmentation procedures remain important options for patients with attritional or irreparable bone loss and high‐risk bipolar lesions. However, increasing enthusiasm for these procedures should not displace anatomic repair when a viable bony Bankart fragment can be mobilized, anatomically reduced, and securely fixed. When native glenoid anatomy can be reliably restored, arthroscopic bony Bankart fixation is an effective and durable treatment.